Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,500.00 / $7,542.00	Facility		$652.00	$2,500.00	$7,542.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,988.30 / $4,988.30 / $4,988.30	Facility	50	$4,988.30	$4,988.30	$4,988.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.06 / $857.18 / $1,223.66	Professional		$147.06	$857.18	$1,223.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $224.09 / $224.09 / $224.09	Professional	50	$224.09	$224.09	$224.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.51 / $181.51 / $1,052.82	Professional		$181.51	$181.51	$1,052.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,287.56 / $2,263.53 / $4,406.28	Facility		$1,287.56	$2,263.53	$4,406.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $730.41 / $1,488.85	Professional		$136.66	$730.41	$1,488.85
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $142.69 / $1,386.44 / $2,559.81	Facility		$142.69	$1,386.44	$2,559.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Professional		$205.09	$205.09	$205.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.78 / $126.78 / $126.78	Facility		$126.78	$126.78	$126.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,118.06 / $1,118.06 / $1,118.06	Facility		$1,118.06	$1,118.06	$1,118.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.80 / $891.59 / $1,769.99	Professional		$160.80	$891.59	$1,769.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,643.33	Facility		$55.00	$55.00	$1,643.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,350.92 / $6,419.20 / $7,584.00	Professional		$3,350.92	$6,419.20	$7,584.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.76 / $595.11 / $1,633.32	Facility		$146.76	$595.11	$1,633.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.81 / $956.07 / $1,564.47	Professional		$188.81	$956.07	$1,564.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.10 / $446.10 / $446.10	Professional		$446.10	$446.10	$446.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.76 / $736.79 / $2,195.46	Facility		$146.76	$736.79	$2,195.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.95 / $914.88 / $1,793.21	Professional		$164.95	$914.88	$1,793.21
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,554.00	Facility		$564.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.71 / $1,132.59 / $1,793.63	Professional		$823.71	$1,132.59	$1,793.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.79 / $825.54 / $1,179.95	Professional		$741.79	$825.54	$1,179.95